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Employment Claims
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DPW
COVID-19 (site, vaccine, testing)
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Name
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Phone Number
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Email
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example@example.com
Ward
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Ward 1
Ward 2
Ward 3
Ward 4
Ward 5
Ward 6
Ward 7
Ward 8
Have you contacted your ward Councilmember?
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Other
(it is ok if you have not)
Address
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Street Address Line 2
City
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Nature of the problem
Does it require follow up?
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No
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